Adult Intake– If you are an adult and would like an assessment or counseling please complete this intake package and bring it with you to your first appointment.
Insurance Info – If we have spoken and you want me to check your insurance information, please complete this form and email it back to me.
Insurance Info webform – If we have spoken and you want me to check your insurance you can also use this webform to submit your information.
Student History with NPCC3 2017 – If you have a child or student (through college) and need an assessment, please complete this package and email it to me prior to testing.
Assessment Consent – Complete this form if you are having a student or child evaluated. E-mail it back to me prior to testing.
Limits of Confidentiality – Please read this form
Authorization for Release of Information – If you need Dr. Newsom to collaborate with teachers, other professionals or collateral informants or to release records to others, simply fill out the following form.